基于伏邪理论探讨小儿过敏性紫癜的发病特点

从伏邪理论溯源、伏邪成因、伏邪致病三个方面阐述伏邪在小儿过敏性紫癜发病中的重要作用。认为伏邪既可从外而感,亦能从内而生。外感伏邪可由外感六淫蕴酿而成,也可直接感受疫气而发,表现为"伏邪于冬,至春发病"和"伏邪于夏,至秋发病";内伤伏邪主要包括伤食、湿热、胎毒;外感伏邪与内伤伏邪是相互交感的,可以继发病理邪气,导致病情缠绵难愈。根据伏邪发病的病机,提出临床治疗小儿过敏性紫癜应在辨证施治的基础上重视祛除伏邪。内伤伏邪多采用清热解毒、清热凉血、清热利湿、清热消食等治法;外感伏邪则要充分考虑外感伏邪作为致病之源,注意祛除外因,同时给予疏风、透郁、祛暑等治法,且应根据其反复发作具有明显季节性的特点,重视预防,防其复发。

Exploring the Incidence Characteristics of Henoch-Schonlein Purpura in Children Based on the Theory of Hidden Pathogen

The important role of hidden pathogen in the pathogenesis of henoch-schonlein purpura( HSP) in children was expounded from the three aspects of the theoretic origin,the cause and the pathogenesis of hidden pathogen. It was believed that the hidden pathogen can be exogenous and can also be generated from the inside. The exogenous hidden pathogen can be transformed from six climatic factors,and can also occurred directly from epidemic factors,which is expressed as "the hidden pathogen in the winter,the onset of spring"and "the hidden pathogen in the summer,the onset of autumn";The hidden pathogen of internal damage includes food damage,dampness heat,and fetal toxicity;exogenous hidden pathogen and internal damage hidden pathogen are mutual contracted,which can induce pathological pathogens,leading to a lingering disease. According to the pathogenesis of the disease,it is proposed that the clinical treatment of HSP in children should pay attention to the elimination of hidden pathogen on the basis of syndrome differentiation. Internal damage hidden pathogen are mostly treated with clearing heat and removing toxicity,clearing heat and cooling blood,clearing heat and promoting diuresis,clearing heat and eliminating food stagnation. The exogenous hidden pathogen should fully consider the exogenous hidden pathogen as the source of the disease,pay attention to the removal of external factors,and at the same time treated with dispelling wind,promoting stagnation,dispelling summer-heat,and should pay attention to prevention for recurrence based on the obvious seasonal characteristics of its repeated attack.